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You should certainly be familar with the different pieces of the NCLEX-RN Content Pie Chart.

April 2019

The NCLEX will ask examinees to integrate and apply their knowledge

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Disclaimer:  The Adkins Academy is in NO WAY providing medical advice or instructions to patients with our free questions. These questions and answers are solely intended for students/clients seeking examples of questions reviewed in our courses. Content is solely the opinion of The Adkins Academy and is sole the property of The Adkins Academy and as such is copyright protected. 
With the new 2019 NCLEX-RN it is increasingly important to understand disease signs and symptoms, disease progression, management, pharmacology, and following care. As a soon-to-be, you will be expected to identify common diseases solely based upon a description of the signs and symptoms and basic labs.

Your patient is clearly experiencing symptoms consistent with Obstructive Sleep Apnea (OSA). OSA is commonly seen in morbidly obese individuals and results in disturbed sleep patterns due to an inability to consistently maintain a patent airway during sleep. In the supine position, the patient's excess weight causes their airway to collapse and disrupts the flow of air into and out of the lungs.

As the brain stem senses hypercapnia under a collapsed airway, the patient respirator reflect triggers an awakening in the patient and forces the patient to breath. Many patient experience this several time a night and can barely get a consistent hour or two of sleep continuously. This explains your patient's fatigue and lack of sleep - key features of OSA. Additionally, these patients tend to have a high BMI, high respiratory rate, and hypertension, all pointing to OSA.

So needless to say, the other answer choice are not fully support by the information stated within the questions. If you like to learn more and really understand how to answer NCLEX- RN questions with confidence, then please contact Dr. Adkins and his team for real questions and in depth explanations. Also, subscribe to The Adkins Academy YouTube channel to see member of The Adkins Academy Team explain questions just like this in real time and through recorded lectures. You can subscribe to The Adkins Academy YouTube Channel by selecting the YouTube icon in the upper left corner.